Yvonne Vasquez
Visalia,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
10
10
years of professional experience
Work History
Senior Claims Specialist
Cigna Health
03.2022 - Current
- Reviewed claim for accuracy of charges, CPT/SVC Codes, diagnosis, member and provider details
- Verified member benefits
- Review and adjust claims upon calls received for discrepancies or verification
- Maintain attainment, accuracy and barrier time
- Managed a caseload of complex claims, ensuring timely settlements and maintaining member satisfaction.
Medical Biller
Dr. Anil Patel
01.2020 - 03.2022
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Credentialing
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Prepared billing statements for patients and verified correct diagnostic coding.
Medical Biller
Resource Billing and Consultants
04.2019 - 11.2019
- Delivered timely and accurate charge submissions.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Used data entry skills to accurately document and input statements.
- Enter provider charges for billing
- Posted payments and collections on regular basis.
Medical Biller/Payment Poster
Altura Centers for Health
10.2015 - 04.2019
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Responded to customer concerns and questions on daily basis.
- Handled account payments and provided information regarding outstanding balances.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
Education
Certificate - Certified Medical Assistant
Visalia Adult School
Visalia, CA06-2014
High School Diploma -
Visalia Adult School
Visalia, CA06-2004
Skills
- Claims investigation
- Customer service
- Insurance policy knowledge
- Time management
- Attention to detail
- Multitasking
Timeline
Senior Claims Specialist
Cigna Health
03.2022 - Current
Medical Biller
Dr. Anil Patel
01.2020 - 03.2022
Medical Biller
Resource Billing and Consultants
04.2019 - 11.2019
Medical Biller/Payment Poster
Altura Centers for Health
10.2015 - 04.2019
Certificate - Certified Medical Assistant
Visalia Adult School
High School Diploma -
Visalia Adult School
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